Provider Demographics
NPI:1417170341
Name:RICHARD & CARTER M.D. P.C.
Entity Type:Organization
Organization Name:RICHARD & CARTER M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-321-3605
Mailing Address - Street 1:2201 MURPHY AVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1835
Mailing Address - Country:US
Mailing Address - Phone:615-321-3605
Mailing Address - Fax:615-321-3629
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 411
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-321-3605
Practice Address - Fax:615-321-3629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000017418174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA97617Medicare UPIN
TN3375718Medicare ID - Type Unspecified
TNE71641Medicare UPIN